芒针对刺神阙与曲泉穴治疗脑卒中后尿潴留的临床疗效观察

【目的】观察芒针对刺神阙与曲泉穴治疗脑卒中后尿潴留的临床疗效。【方法】将70例脑卒中后尿潴留患者随机分为治疗组和对照组,每组各35例。2组患者均给予基础治疗,对照组给予常规针刺治疗,治疗组给予芒针对刺神阙与曲泉穴治疗。6 d为1个疗程,2个疗程之间间隔1 d,连续治疗2个疗程。治疗2周后,评价2组临床疗效,观察2组患者治疗前后膀胱最大容量及残余尿量的变化情况,比较2组患者治疗前后中医症状积分的变化情况。【结果】(1)治疗后,2组患者的膀胱最大容量、残余尿量均明显改善(P<0.05),且治疗组在改善膀胱最大容量、残余尿量方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的排尿无力、小腹坠胀、倦怠乏力及总分均明显改善(P<0.05),且治疗组在改善排尿无力、小腹坠胀、倦怠乏力及总分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗组总有效率为82.86%(29/35),对照组为71.43%(25/35)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】芒针对刺神阙与曲泉穴治疗脑卒中后尿潴留,能明显改善患者的临床症状,有效改善患者的膀胱功能,疗效显著。

Observation on Clinical Effect of Elongated Needle Puncture at Shenque Point and Ququan Point for Uroschesis after Stroke

Objective To observe the therapeutic effect of elongated needle puncture at Shenque(RN8)point and Ququan(LR8) point for uroschesis after stroke. Methods Seventy patients with uroschesis after stroke were randomly divided into the treatment group and the control group,with 35 cases in each group. Both groups were given basic treatment,and additionally the control group was given conventional acupuncture treatment,and the treatment group was given elongated needle puncture at Shenque(RN8)point and Ququan(LR8)point treatment.Six days constituted a course of treatment,and the treatment lasted for two consecutive courses,with an interval of one day between the two courses. After 2 weeks of treatment, the clinical efficacy of the two groups was evaluated, the changes of maximum bladder volume and residual urine volume were observed before and after treatment,and the changes of traditional Chinese medicine(TCM)symptom scores between the two groups were compared before and after treatment. Results(1)After treatment,the maximum bladder volume and residual urine volume in both groups were significantly improved(P<0.05), and the improvement of the maximum bladder volume and residual urine volume in the treatment group was significantly superior to that in the control group,the difference being statistically significant(P<0.05).(2)After treatment, the patients in the two groups had significant improvement in acraturesis,lower abdomen falling and distension,fatigue and total score(P<0.05),and the treatment group was significantly superior to the control group in improving the acraturesis,lower abdomen falling and distension, fatigue and total score, the difference being statistically significant(P<0.05).(3)The total effective rate was 82.86%(29/35)in the treatment group and 71.43%(25/35)in the control group. The therapeutic effect of the treatment group was superior to that of the control group, and the difference was statistically significant(P<0.05). Conclusion Elongated needle puncture at Shenque(RN8)point and Ququan(LR8)point for uroschesis after stroke exerts significant effect in improving the clinical symptoms and bladder function of patients.